NPIMap

Organization Active NPI

The Guidance Center

  • Community/Behavioral Health Agency
  • Somerville, MA
National Provider Identifier
1104242155
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
THE GUIDANCE CENTER
Practice address
12 Tyler St
Somerville, MA 02143-3241
Phone
(617) 702-5771
NPI assigned
Mar 14, 2014
Last updated
Mar 14, 2014By the provider in NPPES
Organization subpart
Yes
Parent organization
RIVERSIDE COMMUNITY CAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Kimberly Conley, M.ED, LMFT
Title
Csa Program Director
Phone
(617) 702-5764

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

12 Tyler St
Somerville, MA 02143-3241

Mailing address

12 Tyler St
Somerville, MA 02143-3241
Phone (617) 702-5771

National Provider Directory

National Provider Directory
Tax ID family
Riverside Comm MNTL HLT15 organizations share this tax ID, including this one
Part of
Riverside Comm MNTL HLT

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

Practitioners & affiliated clinicians

Practitioners 51

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 51

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1104242155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 TYLER ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433241",
            "telephone_number": "617-702-5771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 TYLER ST",
            "city": "SOMERVILLE",
            "state": "MA",
            "postal_code": "021433241",
            "telephone_number": "617-702-5771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE GUIDANCE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RIVERSIDE COMMUNITY CARE",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "CONLEY",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "CSA PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "617-702-5764",
        "authorized_official_credential": "M.ED, LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerville, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.